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1. Describe the project for which you are seeking funding: <br />2. Describe who will be served (Numbers of people, ages or grade level, special <br />needs, etc.): <br />3. How will you assess your impact? <br />4. BUDGET (You may attach a separate sheet or fill out the table below) <br />Total Project Budget: <br />Amount Requested: <br />Itemized Project Expenses (Include a//project expenses; indicate those that <br />would be paid for with Altamont funds). <br />Requesting funding with <br />this orooosal <br />Funded by anothersource <br />(Identify the source) <br />Applicnt/ons must be rec•elved by Friday, April 17, 2009. If rd! nriui-grunt fiuu/s ure not r/isburserl, <br />npp/ic•ntimrs :vi/! be nccepter/ f/rrnug/eout Uie school year. Mail or hand-deliver your completed application <br />[o: <br />Sharon Arnerich, Staff Liaison <br />Altamont Education Advisory Board <br />3500 Robertson Park Road <br />Livermore, CA 94550 <br />smarnerich(a~ci.livermore.ca.ns <br />Signature of Applicant: <br />Date: <br />